Houston Community College
Change of name, address, phone, & soCial seCurity no.
soCial seCurity no.
Change of: (CheCk all appropriate)
❏ *social security no.
*to be made only by registrar’s office
soCial seCurity Change
incorrect s.s. no.
new home address
new home phone
in what school district do you reside? ❏ hisd
new permanent phone
❏ spring branch
❏ fort bend ❏ north forest ❏ other _ __________
new mailing address
new work phone
* if your new address changes your residency status, you must complete a change of residency petition and submit supporting
With few exceptions, state law gives you the right to request, receive, review and correct information about yourself collected on this form.
form no. 400 (rev.5/06)